International day for the evaluation of abdominal obesity (IDEA): A study of waist circumference, cardiovascular disease, and diabetes mellitus in 168 000 primary care patients in 63 countries Public Deposited

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  • Bassand, Jean-Pierre
    • Other Affiliation: University Hospital Jean-Minjoz, Besançon, France
  • Smith, Sidney C., Jr.
    • Affiliation: School of Medicine, Division of Cardiology, Department of Medicine
  • Van Gaal, Luc
    • Other Affiliation: Antwerp University Hospital, Antwerp, Belgium
  • Wittchen, Hans-Ulrich
    • Other Affiliation: Institut für Klinische Psychologie und Psychotherapie, Technische Universität Dresden, Dresden, Germany
  • Massien, Christine
    • Other Affiliation: Sanofi-Aventis, Paris, France
  • Deanfield, John E.
    • Other Affiliation: Cardiac Unit, Institute of Child Health and Grown Up Congenital Heart Disease, University College, London, UK
  • Balkau, Beverley
    • Other Affiliation: Faculty of Medicine, Université Paris-Sud, Orsay, France
  • Fox, Keith A.A.
    • Other Affiliation: Royal Infirmary of Edinburgh, Edinburgh, UK
  • Haffner, Steven M.
    • Other Affiliation: University of Texas Health Science Center, San Antonio, Tex.
  • Barter, Philip
    • Other Affiliation: The Heart Research Institute, Sydney, Australia
  • Tan, Chee-Eng
    • Other Affiliation: Centre for Molecular Epidemiology, National University of Singapore, Republic of Singapore
  • Despres, Jean-Pierre
    • Other Affiliation: Laval Hospital Research Center, Sainte-Foy, Quebec, Canada
  • "Background— Abdominal adiposity is a growing clinical and public health problem. It is not known whether it is similarly associated with cardiovascular disease (CVD) and diabetes mellitus in different regions around the world, and thus whether measurement of waist circumference (WC) in addition to body mass index (BMI) is useful in primary care practice. Methods and Results— Randomly chosen primary care physicians in 63 countries recruited consecutive patients aged 18 to 80 years on 2 prespecified half days. WC and BMI were measured and the presence of CVD and diabetes mellitus recorded. Of the patients who consulted the primary care physicians, 97% agreed to participate in the present study. Overall, 24% of 69 409 men and 27% of 98 750 women were obese (BMI≥30 kg/m2). A further 40% and 30% of men and women, respectively, were overweight (BMI 25 to 30 kg/m2). Increased WC (>102 for men and >88 cm for women) was recorded in 29% and 48%, CVD in 16% and 13%, and diabetes mellitus in 13% and 11% of men and women, respectively. A statistically significant graded increase existed in the frequency of CVD and diabetes mellitus with both BMI and WC, with a stronger relationship for WC than for BMI across regions for both genders. This relationship between WC, CVD, and particularly diabetes mellitus was seen even in lean patients (BMI less than 25 kg/m2). Conclusions— Among men and women who consulted primary care physicians, BMI and particularly WC were both strongly linked to CVD and especially to diabetes mellitus. Strategies to address this global problem are required to prevent an epidemic of these major causes of morbidity and mortality."
Date of publication
  • doi:10.1161/CIRCULATIONAHA.106.676379
  • 2-s2.0-37349066531
Related resource URL
Resource type
  • Article
Rights statement
  • In Copyright
Journal title
  • Circulation
Journal volume
  • 116
Journal issue
  • 17
Page start
  • 1942
Page end
  • 1951
  • English
  • Postprint
  • ‎0009-7322

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